RESULTS OF CONSERVATIVE OPERATIONS FOR MALIGNANT TUMORS OF THE THYROID*

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Abstract
ALL malignant tumors of the thyroid seen on the Surgical Service of the first author between the years 1937 and 1954 have been reviewed. Of 182 such tumors, 59 per cent were classified as papillary carcinoma Table 1). PAPILLARY CARCINOMA About a third (33) of the 107 patients with papillary carcinoma of the thyroid had had a previous operation on the thyroid and will be referred to as the secondary group. The larger remaining group of 74 patients had had no previous operation on the thyroid itself and will be referred to as the primary group. Included in this primary group are 23 patients who had had previous neck dissections or biopsies of cervical nodes. In the primary group of 74 patients (no previous operation on the thyroid), 47 (63.5 per cent) had metastases to the regional lymph nodes at the time of operation. Twenty-seven patients (36.5 per cent) had no gross evidence of lymph node metastases. Four patients (5.4 per cent) had distant metastases when first seen. Three of these had pulmonary metastases and 1 had a metastatic lesion in the femur (Table 2).

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